TECHE ACTION BOARD, INC. (NPI# 1134205925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134205925 |
| Entity Type | Organization |
| Organization Name | TECHE ACTION BOARD, INC. |
| Other Organization Name | TECHE ACTION CLINIC PHARMACY |
| Practice Address |
1115 Weber St Franklin LA 70538-4124 |
| Practice Telephone | 3378282550 |
| Practice Fax Number | 3378282791 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3378282791 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | MR. KIRBY WAYNE BONVILLAIN (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 9858511717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
002217 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1925277 | 01 | |
| LA | NCPDP | 1925277 | 01 |
| LA | 1267538 | 05 |
| Other Name | Type Code |
|---|---|
| Teche Action Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912354176 | Teche Action Board, Inc. | Clinic/Center | 2555 La Hwy 18, Edgard, LA 70049-2417 | 2016-05-18 |
| 1215354014 | Teche Action Board, Inc. | Clinic/Center | 121 West 134th Place, Galliano, LA 70354 | 2014-03-19 |
| 1902082811 | Teche Action Board, Inc. | Clinic/Center | 18331 Highway 182, Baldwin, LA 70514-1449 | 2008-01-10 |
| 1154368553 | Teche Action Board, Inc. | Clinic/Center | 159 E 3rd St, Edgard, LA 70049-2450 | 2006-06-02 |
| 1215974019 | Teche Action Board, Inc. | Clinic/Center | 1014 West Tunnel Blvd, Houma, LA 70360-5555 | 2006-06-01 |
| 1760016562 | Teche Action Board, Inc. | Pharmacist | 1124 7th St, Morgan City, LA 70380 | 2020-03-02 |
| 1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
| 1801433883 | Teche Action Board, Inc. | Clinic/Center | 827 N Pine St, Gramercy, LA 70052-3602 | 2019-12-09 |
| 1255788428 | Teche Action Board, Inc. | Clinic/Center | 1 Wildcat Dr, Reserve, LA 70084-5800 | 2016-05-18 |
| 1477900637 | Teche Action Board, Inc. | Clinic/Center | 393 Greenwood Dr, La Place, LA 70068-2535 | 2016-05-18 |
| Street Address |
1115 WEBER ST |
| City | FRANKLIN |
| State | LA |
| Zip Code | 70538-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303240 | Chakshu Gautam | Family Medicine | 1115 Weber St, Teche Action Clinic, Franklin, LA 70538-4124 | 2005-06-01 |
| 1326655952 | Brian Gregory Serio | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2020-09-28 |
| 1346873403 | Alexis Bourgeois | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2020-02-18 |
| 1396226767 | Carolyn Higdon | Counselor | 1115 Weber St, Franklin, LA 70538-4124 | 2018-08-23 |
| 1033627906 | Emily Geesling Bergeron | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538 | 2018-01-13 |
| 1801314315 | Eden Desiree Etcheverria | Physician Assistant | 1115 Weber St, Franklin, LA 70538-4124 | 2017-09-05 |
| 1245760800 | Shayla Lux Autrey | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2017-06-15 |
| 1003354929 | Jamila Mckinnis Riley | Dentist | 1115 Weber St, Franklin, LA 70538 | 2017-02-11 |
| 1790140549 | Crystal Hill | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2015-12-21 |
| 1942608997 | Tangela Denise Robertson | Nurse Practitioner | 1115 Weber St, Franklin, LA 70538-4124 | 2014-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154790327 | Bogalusa Rehabilitation Hospital LLC | Rehabilitation Hospital | 604 Palfrey Street, Franklin, LA 70538 | 2015-09-17 |
| 1720325855 | Thomas Frere Kramer | Obstetrics & Gynecology | 4484 Irish Bend Rd., Franklin, LA 70538 | 2013-01-09 |
| 1073797098 | Jaba Enterprises Inc | Home Health | 1101 Northwest Blvd, Franklin, LA 70538 | 2007-12-27 |
| 1578784195 | Jeffrey Neil Jordan | Clinic/Center | 1600 Hospital Avenue, Franklin, LA 70538 | 2007-05-01 |
| 1508948852 | Kira P Ridgley | Physician Assistant | 1105 Northwest Blvd., Franklin, LA 70538 | 2006-10-19 |
| 1871602581 | John Neal Boudreaux | Dentist | 600 Haifleigh St, Franklin, LA 70538 | 2006-08-29 |
| 1891273850 | Demetra Smith | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-08-01 |
| 1497244891 | Ashley Burkhart | Counselor | 75 Main St, Franklin, LA 70538 | 2018-05-02 |
| 1710474036 | Fallon Hoskins-august | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-04-23 |
| 1275035032 | Earolyn Ann Choate | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-03-07 |
| Find all providers in zip 70538 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1528151677 | The Bone & Joint Clinic PC | Pharmacy | 206 Bedford Way, Franklin, TN 37064 | 2006-10-02 |
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| 1114495355 | Iberia Comprehensive Community Health Center | Pharmacy | 1009 Charity Street, Abbeville, LA 70510-5239 | 2018-11-06 |
| 1780152157 | Vernon Parish Community Health Center Pharmacy | Pharmacy | 298 Nolan Trace Pkway, Leesville, LA 71446-3912 | 2018-11-05 |
| 1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
| 1790158681 | Obh Region 8 Pharmacy | Pharmacy | 4800 S Grand St, Monroe, LA 71202-6412 | 2015-11-02 |
| 1558756742 | South Central La Human Services Authority Pharmacy | Pharmacy | 1809 W Airline Hwy, La Place, LA 70068-3336 | 2015-04-03 |
| 1740617364 | Our Lady of The Angels Hospital, Inc. | Pharmacy | 400 Memphis Street, Bogalusa, LA 70427 | 2013-09-27 |
| 1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1831490531 | Specialists Hospital of Shreveport LLC | Pharmacy | 1500 Line Ave, Ste #104b, Shreveport, LA 71101-4639 | 2010-11-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.